Neck Disability Index

Office Use Only

This questionnaire has been designed to give us information as to how your neck pain has
Name ________________________________
affected your ability to manage in everyday life. Please answer every section and mark in each
Date _________________________________
section only the one box that applies to you. We realise you may consider that two or more
statements in any one section relate to you, but please just mark the box that most closely
describes your problem.
I cannot lift or carry anything

Section 1: Pain Intensity

I have no pain at the moment
The pain is very mild at the moment
The pain is moderate at the moment
The pain is fairly severe at the moment
The pain is very severe at the moment
The pain is the worst imaginable at the moment

Section 4: Reading
I can read as much as I want to with no pain in my neck
I can read as much as I want to with slight pain in my neck
I can read as much as I want with moderate pain in my neck
I cant read as much as I want because of moderate pain in my neck
I can hardly read at all because of severe pain in my neck
I cannot read at all

Section 2: Personal Care (Washing, Dressing, etc.)

I can look after myself normally without causing extra pain
I can look after myself normally but it causes extra pain
It is painful to look after myself and I am slow and careful
I need some help but can manage most of my personal care
I need help every day in most aspects of self care
I do not get dressed, I wash with difficulty and stay in bed

Section 5: Headaches
I have no headaches at all
I have slight headaches, which come infrequently
I have moderate headaches, which come infrequently
I have moderate headaches, which come frequently
I have severe headaches, which come frequently
I have headaches almost all the time

Section 3: Lifting
I can lift heavy weights without extra pain
I can lift heavy weights but it gives extra pain
Pain prevents me lifting heavy weights off the floor, but I can manage if they are
conveniently placed, for example on a table
Pain prevents me from lifting heavy weights but I can manage light to medium
weights if they are conveniently positioned
I can only lift very light weights

Section 6: Concentration
I can concentrate fully when I want to with no difficulty
I can concentrate fully when I want to with slight difficulty
I have a fair degree of difficulty in concentrating when I want to
I have a lot of difficulty in concentrating when I want to
I have a great deal of difficulty in concentrating when I want to
I cannot concentrate at all

Section 7: Work

Section 9: Sleeping

I can do as much work as I want to

I can only do my usual work, but no more
I can do most of my usual work, but no more
I cannot do my usual work
I can hardly do any work at all
I cant do any work at all

I have no trouble sleeping

My sleep is slightly disturbed (less than 1 hr sleepless)
My sleep is mildly disturbed (1-2 hrs sleepless)
My sleep is moderately disturbed (2-3 hrs sleepless)
My sleep is greatly disturbed (3-5 hrs sleepless)
My sleep is completely disturbed (5-7 hrs sleepless)

Section 8: Driving

Section 10: Recreation

I can drive my car without any neck pain

I can drive my car as long as I want with slight pain in my neck
I can drive my car as long as I want with moderate pain in my neck
I cant drive my car as long as I want because of moderate pain in my neck
I can hardly drive at all because of severe pain in my neck
I cant drive my car at all

I am able to engage in all my recreation activities with no neck pain at all

I am able to engage in all my recreation activities, with some pain in my neck
I am able to engage in most, but not all of my usual recreation activities because of
pain in my neck
I am able to engage in a few of my usual recreation activities because of pain in
my neck
I can hardly do any recreation activities because of pain in my neck
I cant do any recreation activities at all

Score:

/50

Transform to percentage score x 100 =

%points

Scoring: For each section the total possible score is 5: if the first statement is marked the section score = 0, if the last statement is marked it = 5. If all ten sections are
completed the score is calculated as follows:
Example:16 (total scored)
50 (total possible score) x 100 = 32%
If one section is missed or not applicable the score is calculated:
16 (total scored)
45 (total possible score) x 100 = 35.5%
Minimum Detectable Change (90% confidence): 5 points or 10 %points
NDI developed by: Vernon, H. & Mior, S. (1991). The Neck Disability Index: A study of reliability and validity. Journal of Manipulative and Physiological Therapeutics. 14, 409-415